Hospital Pharmacy Funen, Odense University Hospital, Solfaldsvej 38, Entrance 208, 5000, Odense C, Denmark.
OPEN, Odense Patient Data Explorative Network, Odense University Hospital, Odense C, Denmark.
Int J Clin Pharm. 2019 Jun;41(3):672-676. doi: 10.1007/s11096-019-00831-5. Epub 2019 Apr 17.
Background Handling of unavailable prescriptions, i.e. prescriptions missing on the online server, is considered troublesome and time-consuming by community pharmacy staff and may result in both patient dissatisfaction and non-compliance. Objective To describe the occurrence and reasons for unavailable prescriptions at Danish community pharmacies as well as the types of drugs involved. Method An online 11-item questionnaire was developed and distributed to 24 community pharmacies across Denmark which each collected data on unavailable prescriptions handled within a 3-week period. Results Out of 194,358 prescriptions dispensed during the study period, a total of 2765 (1.4%) unavailable prescriptions were registered. Of these, 51.1% (n = 1412) occurred when a patient expected a new prescription after having consulted a physician, most often the patient's general practitioner (75.6%; n = 1067). Of all unavailable prescriptions, 68.1% (n = 1882) concerned prescriptions on regular drugs for treatment of a chronic condition, with the patient not having any medication left in 27.9% (n = 526) of these cases. Unavailable prescriptions most frequently concerned cardiovascular drugs (15.8%; n = 437) followed by nervous system drugs (14.4%; n = 399). Conclusion Unavailable prescriptions occur in approximately 1% of all dispensing at Danish community pharmacies. Miscommunication between the patient and general practitioner seems to be the primary source of unavailable prescriptions.
背景 对于社区药剂师来说，处理无法获取的处方（即在线服务器上缺失的处方）是一件麻烦且耗时的事情，这可能会导致患者不满和不遵守医嘱。目的 描述丹麦社区药房无法获取处方的发生情况和原因，以及涉及的药物类型。方法 开发了一个包含 11 个项目的在线问卷，并分发给丹麦的 24 家社区药房，每家药房在 3 周内收集处理无法获取的处方的数据。结果 在研究期间发放的 194358 张处方中，共登记了 2765 张（1.4%）无法获取的处方。其中，51.1%（n=1412）发生在患者预期在咨询医生后获得新处方时，最常见的是患者的全科医生（75.6%；n=1067）。在所有无法获取的处方中，68.1%（n=1882）涉及用于治疗慢性疾病的常规药物处方，其中 27.9%（n=526）的患者没有任何剩余药物。无法获取的处方最常涉及心血管药物（15.8%；n=437），其次是神经系统药物（14.4%；n=399）。结论 在丹麦的社区药房中，大约 1%的发药会出现无法获取的处方。患者和全科医生之间的沟通失误似乎是无法获取处方的主要原因。
